Organization Active NPI

Marion General Hospital

  • Clinic/Center
  • Columbia, MS
National Provider Identifier
1194831909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARION GENERAL HOSPITAL
Practice address
910 Sumrall Rd
Columbia, MS 39429-2652
Phone
(601) 736-0177
Fax
(601) 736-0179
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry Howell
Title
Chief Executive Officer
Phone
(601) 740-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MS Primary

Addresses

Primary practice location

910 Sumrall Rd
Columbia, MS 39429-2652

Mailing address

910 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 736-0177

Other identifiers 1

IdentifierTypeStateIssuer
06824714MedicaidMS

Other names 1

  • Marion County Surgical Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194831909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292652",
            "telephone_number": "601-736-0177",
            "fax_number": "601-736-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292652",
            "telephone_number": "601-736-0177",
            "fax_number": "601-736-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "601-740-2190"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06824714",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion County Surgical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.